Deep Brain Sound Stimulation for Anxiety: 
Precision Auditory Stimulation

Background: Anxiety disorders affect approximately 18% of adults in the United States each year, characterized by excessive worry, emotional dysregulation, and physiological hyperarousal. Traditional treatments like pharmacotherapy and behavioral interventions, while effective, are often limited by side effects and accessibility issues.Objective: This study assesses the effectiveness and safety of Deep Brain Sound Stimulation (DBSS), a novel non-invasive auditory therapy, based on user-reported outcomes from individuals with anxiety disorders.Methods: We analyzed feedback from 308 users who completed DBSS therapy via the Vital Tones mobile application on the Apple App Store. Additionally, 19 participants provided detailed responses through in-app surveys evaluating symptom improvements in excessive worry, emotional regulation, and physiological hyperarousal. Descriptive statistics were used to determine median effectiveness and satisfaction rates.Results: The therapy demonstrated a high user satisfaction rate of 99.03%, with a minimal refund rate of 0.97%. Survey respondents reported a median symptom improvement of 65% (95% CI: 58.20%–71.80%). DBSS was well-tolerated, with only minor side effects reported in a small number of sessions.Conclusion: Preliminary findings indicate that DBSS is a promising non-invasive treatment for anxiety disorders, offering significant symptom improvement and high user satisfaction. However, the observational nature of the study, small survey sample, and reliance on self-reported data suggest that further controlled research is necessary to validate these results and establish DBSS's efficacy and safety.